Prescription Shop

LBN: Medical Center Prescription Shop
Prescription Shop is an health care organization with primary practice located at 710 Medical Center Dr , Eastman GA 31023. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Medical Center Prescription Shop can be contacted via phone (478) 374-5514, or through Dwozan, Michael Frederick via phone (478) 374-5514.

Contact Information

Primary practice address
710 Medical Center Dr Eastman GA 31023
Phone: (478) 374-5514
Fax: (478) 374-8617
Website:
Map and Directions
Authorized official contact:
Name: Dwozan, Michael Frederick RPH
Phone: (478) 374-5514

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHRE006118 Georgia

Profile Details

NPI number 1598721086
LBN Legal business name Medical Center Prescription Shop
DBA Doing business as Prescription Shop
Authorized official Dwozan, Michael Frederick RPH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2006
Last updated May 6th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598721086 NPPES
Georgia MEDICAID 00031864A

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